Site Medical and Health Care Services Guideline

Appendix C: Medical Standard Requirements 11038-GDL-SSHE-507/00/05-R02

APPENDIX C: MEDICAL STANDARD REQUIREMENTS

MEDICAL EQUIPMENT

Table C1: Fixed Equipment

The requirements listed here cite specific manufacturers for supplies and equipment. All manufacturer
names listed are preferred but not required. The alternate brand must be equivalent in the technical
specifications as the preferred brand.

PTTEP Requirements for Offshore / Remote Site Clinics

Fixed Equipment Quantity Notes or Recommended Brand

Airway Management
Bag valve mask, silicone, adult, reusable 2
Laryngoscope set, Macintosh Blades, reusable Nebulizer 1
Oxygen cylinder, size D approx. 400L 6
Oxygen cylinder key size D 2
Oxygen cylinder, size E or F approx. 1360L 2
Oxygen cylinder key size E or F 2
**Oxygen cylinder, size H approx. 7600L 2 **If size H is not available
Oxygen regulator, pin index, clamp, click flow meter fitting 2
Oxygen regulator, pin index, click flow meter, Schraeder fitting Optional
Oxygen Resuscitator Set Adult 1
Suction unit, handheld manual 1
Suction unit, electric, portable with reusable canister 1
Oxygen Concentrator Optional

EKG and Defibrillator

Automated External Defibrillator (AED) 1 Zoll AED Pro/Plus, Heartstart
FRX (1/100 POB)
AED Spare batteries 1
AED Adult PAD 2
12 Lead EKG with paper 1
ECG electrodes (box of 100) 2
Cardiac monitor defibrillator, biphasic, basic specs includes Optional Philips MRX or Zoll E Series or
Pacing, NiBP, SpO2, EtCO2 and 12 lead ECG Lifepack 15
(Recommend for POB >200)
Spare batteries for Defibrillator 1
Multifunction Electrodes (MFE) 2

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Appendix C: Medical Standard Requirements 11038-GDL-SSHE-507/00/05-R02

Fixed Equipment Quantity Notes or Recommended Brand

Diagnostic Instruments

Glucometer Machine 1

Glucometer test strips (25s/box) 1

Pulse oximeter, portable 1

Sphygmomanometer, portable 1
Stethoscope, adult 1

Patella hammer 1

Otoscope/Ophthalmoscope, Diagnostic set, portable 1

Chart Snellen, 3m 1

Thermometer, infrared, (in ear) 2

Thermometer Probe Covers (Ear probe) 400

Thermometer (Digital) 2

Torch 2

Weight scales, adult 1

Dressing & Suture Instruments

Bandage scissors 1

Lotion bowl (small) 1

Wash bowl 1

Metallic tray 19"X12"X1" 1

All the equipment for suture set
Kidney shaped bowls 2 can be replaced with a
Emergency Room Shears 2 disposable suture set. (at least 1
set / 50 POB)
Toothed forceps 2

Dressing forceps w/o tooth 2

Needle holder 5" Small scissors 4 1/2" Mosquito 2

forceps curved Tray w/ lid for instruments 2

Immobilization and Carrying Equipment

Folding stretcher 1 Optional

Basket stretcher w/ restraints 2 One should be installed in the

sickbay, the other should be
installed in the plant

Lower limb rigid splint 1 set

Upper limb rigid splint 1 set

splint - adjustable 1
Cervical splint set (complete w/ full adult sizes) Confined 1

Space Stretcher 1 Optional

Femur traction splint 1

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Appendix C: Medical Standard Requirements 11038-GDL-SSHE-507/00/05-R02

Fixed Equipment Quantity Notes or Recommended Brand

Half back-extrication device 1

Universal head immobilizer 1 set Optional

Inflatable splints 1

Lifting straps (Stretcher bridal sling) Padded 1 set Optional

board splints for upper limb 1

Scoop stretcher 2 One should be installed in the

sickbay, the other should be
installed in the plant

Spider straps for spinal board 1

Long spine board with straps 1

Vacuum-mattress complete w/ pump & repair kit 1 Optional

Medical Furniture

Examination table 1

Emergency cart (wheel mounted /small size) 1 Optional

Adjustable light 1

Refrigerator, small top-table w/ thermometer 1

Cabinets for medical inventory and other equipment 1

Dressing Trolley, single draw 1 Optional

Wall cabinet w/ lock (small size) for controlled drugs 1

Hospital bed 1 Recommend 1 bed/100 POB

Trash can w/ lid, foot operated, stainless steel 1

Miscellaneous

Eye bath for eye-washing 3 Optional

Rechargeable wall mounted high power flashlight 1 Optional

Ring cutter 1 Optional

Eye magnet w/ loop 2 Optional

Computer desktop set with printer access 1

Wireless headset with microphone 1

Web Camera 1

Crocodile forceps 1 Optional

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Appendix C: Medical Standard Requirements 11038-GDL-SSHE-507/00/05-R02

Table C2: Disposable Items

PTTEP Requirements for Offshore / Remote Site Clinics

Disposable Items Quantity Comments

Airway

Laryngeal mask, size 4 1

Laryngeal mask, size 5 1

CPR face shield 5 boxes of 10 Optional

Endotracheal tubes cuffed, size 7 2

Endotracheal tubes cuffed, size 7.5 2

Endotracheal tubes cuffed, size 8 2

Introducer/guide for ET tubes (stylets) 3

Mask for nebulization/Adult 2

Nasal cannula for oxygen administration 3

Oropharyngeal airways Guedel size 2 3

Oropharyngeal airways Guedel size 3 3

Oropharyngeal airways Guedel size 4 3

Nasopharyngeal airway (NPA) for adult 3

Oxygen mask with reservoir bag 4

Suction tips rigid 3 Optional

Suction tube No. 12 10

Suction tube No. 14 10

Suction tube No. 16 10

Water based jel KY 3

Bandages, dressings, etc.

Conforming Bandage 4" ( 12 roll/pack ) 2

Conforming Bandage 6" ( 12 roll/pack ) 2

Sterile cotton ball (large pack) 1

Cotton stick size L 2

Dressing burn water jel sterile, 12” x 12” 1 box Optional

Dressing burn water jel sterile, 4” x 4” 2 boxes Optional

Dressing burn water jel sterile, 8” x 18” 1 box Optional

Dressing burn water jel sterile, face-mask 1 box Optional

Dressing burn water jel sterile, full-body-size 3 Optional

Antiseptic paraffin dressing pad 3” x 4” 2 boxes of 10’s (Bactigras, Sofra Tulle)

Disposable dressing set 100

Elastic Bandage 4" ( 12 roll/pack ) 2

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Appendix C: Medical Standard Requirements 11038-GDL-SSHE-507/00/05-R02

Disposable Items Quantity Comments

Elastic Bandage 6" ( 12 roll/pack ) 2

Eye pad ( 25 pieces/box ) 1

Gauze 3" x 3" 1 box of 100

Gauze 4" x 4" 1 box of 100

Gauze 3" x 3", Sterile 1 box of 100

Gauze 4" x 4", Sterile 1 box of 100

Gauze tube, 1” 2 Optional

Gauze tube applicator, size 02 1 Optional

Micropore 1" 2 boxes

Tensoplast ( 100 pieces/box ) 5

Transpore 1" 2 boxes

Syringes, IV sets Suturing, etc.

Syringe 3 ml ( 100/box ) 1

Syringe 5 ml ( 100/box ) 1

Syringe 10 ml ( 100/box ) 1

Syringe 20 ml 20

Syringe 50 ml 5
Syringe 50 ml for irrigation 2

Needle No. 18 ( 100 pieces/box ) 1

Needle No. 20 ( 100 pieces/box ) 1

Needle No. 22 ( 100 pieces/box ) 1

Needle No. 25 ( 100 pieces/box ) 1

IV catheter No 18 10

IV catheter No 20 10

IV catheter No 22 10

Intraosseous device, adult, disposable 1 Optional

Disposable Glove (box) 2

Sterile surgical gloves (Pair) 10

Surgical Mask ( 50 pieces/box ) 10

Disposable Razor 5

Chromic catgut 2/0 with cutting needle 3 Optional

Chromic catgut 3/0 with cutting needle 3 Optional

Chromic catgut 4/0 with cutting needle 3 Optional

Silk 3/0 with cutting needle 5 Optional

Silk 4/0 with cutting needle 5 Optional

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Appendix C: Medical Standard Requirements 11038-GDL-SSHE-507/00/05-R02

Disposable Items Quantity Comments

Nylon 2/0 with cutting needle 5 Optional

Nylon 3/0 with cutting needle 5

Nylon 4/0 with cutting needle 5

Nylon 5/0 with cutting needle 5

Sterile Strip 1/2 cm 1 pack of 50

Surgical blade No 10 10 pcs.

Surgical blade No 11 10 pcs.

Alcohol pad 1 box of 100

Water-proof dressing pad 10

IV lock (saline/heparin) 5

IV set (15-20 drops/ml) 15

Extension set 15

Three - way 15

Clinical Tests

Pregnancy test kits 1 pack of 5’s Optional

Rapid-diagnosis test for Dengue 1 box Depending on the prevalence

(Optional)

Rapid-diagnosis test for Malaria 1 box

Rapid-diagnosis test for COVID-19 1 box

Rapid-diagnosis test for Influenza 1 box

Urine chemistry strips (4-10 panels) 1 box

Rapid Test Troponin T strips 5 pieces

Urine drug screening test 50 tests Depending on the prevalence

Miscellaneous

Biohazard bags 1 pack of 100

Body bags 4 (Cadaver bag)

Defibrillator Gel 1

Infection control kit 1 pack of 5’s

Isothermal/rescue blankets 10 Optional

Nasal tamponade, large 2 Optional

Nasal tamponade, medium 2 Optional

Nasal tamponade, small 2 Optional

NG tube No. 14 5

NG tube No. 16 5

Plastic bag for drugs dispensing 300

Sharp collectors 3

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Appendix C: Medical Standard Requirements 11038-GDL-SSHE-507/00/05-R02

Disposable Items Quantity Comments

Tourniquet 3

Triage Tag 25

Urinal 1

Bedpan 1

Foley's Catheter No. 14 5

Foley's Catheter No. 16 5

Urine bag 5

Burn Dressing (8” x 18”, sterile, dry) 10 Optional

Wooden tongue depressors 3 boxes of 100’s

Water Testing Kit

E.coli test kit for water/ice (20s / box) 3 boxes Depend on number of available
dispensers on site.

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 Site Medical and Health Care Services Guideline
Appendix C: Medical Standard Requirements 11038-GDL-SSHE-507/00/05-R02

Table C3: Pharmaceuticals

The names of the medication provided in the below list are the commonly used name which can be
either common or brand names. The equivalent or the medicine of the same family could be used to
substitute the medicine in the list as for local availability. In that case, the CMA should be consulted for
such substitution.

PTTEP has adopted the Thai FDA list A and B as the non-prescription drug. The non-prescription drugs
are listed in green colour in the below list. This is to apply to all the countries that has no clear
prescription drug law and list. Wherever the prescription drug law is available, the local prescription
drug list will be applied. The controlled drugs are listed in red colour. The quantity provided in the list
is per 100 person on board.

PTTEP Requirements for Offshore / Remote Site Clinics Medications

Names Quantity Form

Emergency Drug

Adrenaline 10 Vial or ampule

Atropine 1 mg 10 Vial or ampule

Cordarone 150 mg 5 Vial or ampule

Dopamine 200 mg 2 Vial or ampule

Dobutamine 250 mg 2 Vial or ampule

Nitroglycerine 2 Vial or ampule

Hydrocortisol100 mg or Dexamethasone 4 mg 5 Vial or ampule

NaHCO3 50 ml 5 Vial or ampule

Calcium Gluconate / Levulinate 10 ml 5 Vial or ampule

MgSO4 2 ml 5 Vial or ampule

Adenosine 6 mg 5 Vial or ampule

Furosemide 20 mg 5 Vial or ampule

Diazepam 10 mg inj. 5 Vial or ampule

Haloperidol 5mg/ml 2 Vial or ampule

Antibiotic

Amoxycillin 500 mg 500 Tablet/Capsule

Roxithromycin 150 mg 200 Tablet/Capsule

Dicloxacillin 500 mg 500 Tablet/Capsule

Augmentin 1 g 500 Tablet/Capsule

Cefazolin 1 g 4 Vial/ampule

Ceftriaxone 1g 4 Vial/ampule

Norfloxacine 400 mg 500 Tablet/Capsule

Ciprofloxacine 500 mg 500 Tablet/Capsule

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Appendix C: Medical Standard Requirements 11038-GDL-SSHE-507/00/05-R02

Names Quantity Form

Doxycycline 100 mg 200 Tablet/Capsule

Clindamycin 300 mg 200 Tablet/Capsule

Antidote

Naloxone 4 mg/10ml 2 Vial/ampule

Antihistamines
Chlorpheniramine inj for IV 5 Vial/ampule
Chlorpheniramine 500 Tablet/Capsule

Loratadine 500 Tablet/Capsule

Anti-viral
Tenofovir + Emtricitabine (TRUVADA) 20 Tablet/Capsule

Acyclovir (200) 50 Tablet

Acyclovir (800) 70 Tablet

Oseltamivir 75 mg 50 Tablet

Cardiovascular
Amlodipine (10) 20 Tablet

Atenolol (50) 20 Tablet

Isosorbide dinitrate (5-Sl) 10 Tablet

HCTZ (50) 20 Tablet

Eye, Ear-Nose-Throat
Mouth wash 200 ml 15 Bottle

Chloramphenicol eye drop 20 Bottle

Antibiotic+steroid eye-ear drop 20 Bottle

Throat Lozenges 300 Tablet/Capsule

Oxymetazolin nasal spray 15 Bottle

Eye-wash 200 ml 10 Bottle

Fluids
5% Dextrose water 500 ml 5 Bottle

0.9% NSS 1000 ml 5 Bottle

0.9% NSS 100 ml 5 Bottle

5%D NSS 1000 ml 5 Bottle

5%D/N/2 1000 ml 5 Bottle

Lactate Ringer Solution 1000 ml 5 Bottle

Colloid solution 500ml 2 Bottle

Sterilized water 10 ml 10 Bottle

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 Site Medical and Health Care Services Guideline
Appendix C: Medical Standard Requirements 11038-GDL-SSHE-507/00/05-R02

Names Quantity Form

Gastro-intestinal
Activate Charcoal 200 Tablet/Capsule

Alu, Magn, Hydroxide 100 Tablet

Laxative 100 Tablet

Buscopan 100 Tablet/Capsule

Hyoscine-N-Butylbromide 20 mg inj 10 Vial/ampule

Imodium ( 100 caps/box ) 1 Tablet/Capsule

M. Carminative 180 ml 10 Bottle

Metoclopromide 10 mg/ml 10 Vial/ampule

Metoclopromide 10 mg 100 Tablet

Motilium ( 10 tabs/sachet ) 10 Tablet/Capsule

Omeprazole 20 mg 100 Tablet/Capsule

Omeprazole 40 mg inj. 10 Vial/Ampule

Proctocedyl Rectal Suppository 20 Tablet

Analgesics
Acetaminophen/Paracetamol 500 mg 1000 Tablet/Capsule

Aspirin 300 mg 100 Tablet/Capsule

Injectable NSAIDs ( parecoxib/ kelorolac etc.) 5 Vial/Ampule

Morphine Sulfate 10 mg inj. 2 Vial/Ampule

Muscle relaxant (toperisone, norgesic etc.) 100 Tablet/Capsule

Tramadol 50 mg 10 Vial/Ampule

Ibuprofen 400 mg 100 Tablet/Capsule

Celebrex 200 mg 200 Tablet

Arcoxia 90 mg 100 Tablet

NSAIDs (Diclofenac, naproxen, meloxicam etc.) 100 Tablet/Capsule (optional)

Parasites
Albendazole 200 mg 100 Tablet/Capsule

Anti-malaria medication Malaria endemic only and drugs

of choice depend on prevalence
of the parasites

Benzene hexachloride lotion 1 Bottle

Respiratory
Salbutamol Nebulizer 10 Vial/Ampule
Bromhexine 8 mg 100 Tablet

Acetylcysteine 50 Sachet

Salbutamol inhaler 5 bottle

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Appendix C: Medical Standard Requirements 11038-GDL-SSHE-507/00/05-R02

Names Quantity Form

Salbutamol tab 100 Tablet/Capsule

Miscellaneous
Dimenhydrinate 50 mg 200 Tablet/Capsule

Oral Dehydration Solution (ORS) 100 Sachet

Lidocaine gel 2% 1 Tube

Prednisolone 5mg tab 100 Tablet

Tetanus Toxoid 10 Vial/Ampule

Topical
Acyclovir cream 10 Tube

Analgesic Balm 10 Tube

Antifungal cream 10 Tube

Calamine lotion 10 Bottle

Chlorhexidine Solution 5%/200 ml 10 Bottle

Hydrocortisone w/topical antibiotic cream 10 Tube

Triamcinolone 0.1% 10 Tube

Povidone Iodine Solution 30 ml 20 Bottle

Alcohol 70% 450 ml 10 Bottle

Alcohol 70% 60 ml 10 Bottle

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Appendix C: Medical Standard Requirements 11038-GDL-SSHE-507/00/05-R02

Table C4: Medic Response Bag

(Scissors/Shears/Gloves and clinical waste bag on top of bag)

PTTEP Requirements for Offshore Installation Clinics

SMP Emergency Response Bag

Content Quantity Note

Airway Management & Breathing/Oxygen

Laryngeal mask, size 3 1

Laryngeal mask, size 4 1

Laryngeal mask, size 5 1

Pocket-mask Laerdal 1

Nasal canula, adult 2

Bag Valve Mask 1

Oxygen extension tubing 2m 2

Oxygen T-piece 1

Oxygen face-mask partial rebreathing 2

Tongue depressor, wood 5

Suction (manual) with catheters rigid/flexible 1

Gloves, latex, sterile size 7 5

Gloves, latex, sterile size 8 5

Diagnosis

Blood glucose strips with lancets 1 box

Sphygmomanometer 1
Pulse Oximeter, portable 1

Disposable gloves 2

Flashlight 1

Digital Thermometer 1

Stethoscope 1

Head Lamp, LED fine focus 1

Goggles, safety spectacles 1

Disposable for injections/IV

5 ml syringes 5

10 ml syringes 5

IM needles 6

SC needles 6

Alcohol swabs 20

IV administration sets 3

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Appendix C: Medical Standard Requirements 11038-GDL-SSHE-507/00/05-R02

Content Quantity Note

IV catheters 14/16/18 2 each

IV securing tape 6

Stopcock, 3 way 2

Razor 1

Sharp container (small) 1

Immobilization sets
Adjustable C-Spine splint 1

Upper limb splints (Aluform/box) 1

Dressings

Bandage, conforming 10cm 24

Bandage, crepe, 10cm 4

Bandage, elastic adhesive, 7.5cm 1

Bandage, emergency 12cm (6") 2

Bandage, triangular, sling type 1

Burn dressing, multipack 1

Cold packs 1

Dressing, Compression 4
Dressing, IV Cannula 6

Dressing set, disposable 5

Eye pads, sterile 4

Eye shield, plastic 1

Gauze, approx 10cm x 10cm, sterile 20

Gauze, paraffin 10

Plaster, Permeable adhesive tape, 2.5cm roll 2

Safety pins, rustless 12

Trauma pad, first aid 4

Pressure infuser bag, 1000mlDressing 1

Forceps, artery, curved approx 12.5cm 1

Forceps, artery, straight approx 12.5cm 1

Forceps, Magills, adult 1

Forceps, Mosquito curved 1

Forceps, Mosquito straight 1

Scissors, S/S, straight, approx 12.5cm 2

Scissors, Tuff cutMulti-trauma dressings 1

SWAT-T Tourniquets 1

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Appendix C: Medical Standard Requirements 11038-GDL-SSHE-507/00/05-R02

Content Quantity Note

Survival blanket 2

ACLS medicines

Adenosine inj 2

Adrenaline inj 5

Amiodarone inj 2

Atropine inj 3
50% Glucose inj 50 ml 1

Dopamine inj 800 mg pre-mix 1

Furosemide inj 40 mg 1

Lidocaine 100 mg/1ml 2

Magnesium sulfate 5 mg 2

Nitroglycerine Spray 1

Sodium bicarbonate inj 50ml 2

Other Emergency Medicines

Chorpheniramine inj 2

Colloids 500 ml 1

Diclofenac inj 2
Diazepam inj 10mg/2ml 2

Dimenhydrinate inj 2

Haloperidol inj 5mg/ml 2

Hydrocortisone inj 2

Hyoscin butyl bromide inj 2

Lactated Ringer 1000 ml 1

Metoclopramide 10 mg/2ml 2

Mannitol 25%, 50 ml 1

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Appendix C: Medical Standard Requirements 11038-GDL-SSHE-507/00/05-R02

Table C5: First Aid Box

First Aid Box

Item Number Note

First aid booklet 1

Pocket-mask Laerdal 1

Tough cut scissors 17cm. 1

Vinyl gloves 4 pairs

Tourniquet 1

Disposable sterile wound dressing, small 2

Disposable sterile wound dressing, medium 2

Alcohol-free wipes 20

Gauze swabs-7.5x7.5cm.(pack of five) 5

Gauze swabs-7.5x7.5cm.(pack of 100) 1

Micropore tape -2.5cmx5m. 2

Elastoplast adhesive bandage -10cmx4.5m 1

Conform bangdage -7.5cm x 4.5m 1

Conform bangdage -10cm x 4.5m 1

Conform bangdage -15cm x 4.5m 1

Triangular bandage -calico 2

Water gel burn dressing -5x15 cm. 1

Water gel burn dressing -10x10 cm. 2

Water gel burn dressing -10x40 cm. 1

Betadine 30 ml 1

70% Alcohol 60 ml 1

Normal Saline Dressing 100 ml 1

Paracetamol 500mg 30

Dimenhydranate 10
ORS 5

Tensoplast 20

12 Safety pin 1

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Appendix C: Medical Standard Requirements 11038-GDL-SSHE-507/00/05-R02

Table C6: Mass Casualty Response Set

Mass Casualty Response Set

Item Number Note

Triage card 30

Pen – water resistant 10

CPR Mask 1
Scissors 17 cm 2

Surgical mask 1 box of 50

Surgical gloves 1 box of 100

Tourniquet 4

Alcohol-free wipes 2 boxes

Gauze swabs-7.5x7.5cm.(pack of 100) 10 packs

Gauze burn 12x12 inches (pack of 10) 10 packs

Micropore tape -2.5cmx5m. 10

Elastic bandage -10cmx4.5m 20

Triangular bandage 10
Normal Saline Dressing 500 ml 10

SAM splint 36 inches 2

Safety pin 100

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